Boarding Consent Form Client InformationPlease provide the information below as completely as possible. All information is strictly confidential. If your reservation is for a holiday or around a holiday please call for reservationsFilling out a boarding consent form does NOT reserve a kennel space. Please call our office to make a reservation if you have not already done so.Name* First Last Pet's NameIf More Than One Pet, All Can Go On Same LineEmail* Phone*Drop Off Date* Please Drop Off No Later Than 5 Pm Weekdays And 3 Pm WeekendsPick Up Date & TimeFeeding Instructions:Medications, If Any:(Administered At An Additional Charge)Complimentary Bath If Boarding For More Than 3 Nights Yes NoPaid Kennel Bath If Boarding For Less Than 3 Nights Yes NoToenail Trim (Extra Charge) Yes NoAny Other Services?Anal Gland Expression, Heartworm Test, Vaccines, Etc, All Additional ChargeEmergency Contact Name And NumberSecond Emergency Contact Name And NumberPermission To Treat In An Emergency (Put Down Dollar Amount) Or Would You Prefer To Be Called First? You Will Be Notified Before We Do Anything To Treat Your PetPlease Note That This Is Only A Boarding Consent Form. You Still Need To Call Our Hospital To Set Up A Boarding ReservationSignatureNameThis field is for validation purposes and should be left unchanged.